5. INITIAL DETERMINATION REQUEST PAB-0128.PDF
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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 2901 W. Durango Street e Phoenix, AZ 85009 Phone: (602) 506-4178 PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION | Contact Information os Applicant Name: Keith Danielson Mailing Address: 46107 N 38th Lane ‘iA —9 City: New River State: AZ Zip: 85087 Phone (623 )- 687 —_- 5623 Email: danielson.keithm@gmail.com Parcel Detail | Assessor's Parcel Number: 202-13 - 045C_ 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 46107 N 38th Lane New River, AZ 85087 Patent Easements are 33' off each property line. 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abandon Easement on the North-and-East-side of parcel 202-13-045C ANorth, West, and East sides, per phone conversation with applicant 3/2/20 -JM 3. Access Certification: I certify, under penalty of perjury, that no loss of currently existing legal and physical access to any property will occur if the County grants the patent easement abandonment requested in this initial determination. | [ Signature Keith M Danielson ater 2000.0228 10:19:90-0700" 02/28/2020 Signature of Applicant Date | Maricopa County Use Only PAB Number: Initial Determination Fee*: $250.00 cy #: 100147 Total Received: BAD Date: 32202 Rec'd By: oe 2 * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. Maricopa County Department of Transportation 2901 W. Durango Street Phoenix, AZ 85009 Permit Receipt Payer Name: Receipt #: 100197 KEITH DANIELSON Payment Date: 3/2/2020 46107 N 38TH LANE Reference #: APN 202-13-045C NEW RIVER , Arizona 85087 Receipt Type: Patent Easements Payment Items Credit Card 3776760227 $250.00 ‘PATENT EASEMENT ABANDONMENT INITIAL (DETERMINATION // KEITH DANIELSON | Total: $250.00 Payment Receipt MCDOT Permits Thank you for your payment. Please print this receipt and keep it for your records. Page | of 1 Clerk ID: BPEREZ Customer Name: KEITH DANIELSON Reference Number : APN 202-13-045C Product Description Payment Amount Abandonments 4 $250.00 i __ Payment Amount: $250.00 Receipt Number: 3776760227 Transaction Date: 03/02/2020 02:16 PM Payment Type: VISA Account Number: *7968 | agree to pay thls obligation according to the terms outlined in my agreement with my card issuer. 3/2/2020 https://paydirect.link2gov.com/MCDOTPERMITSV T/Receipt/SuccessfulPayment